2036 Shale Lane - COCCity of hp
COMPLIANCE WIITI INITIAL INSPECTION
T his is to certify that the property listed above has been inspected by authorized City personnel on 6 27201
and found to be in compliance with Section 3 40 of the City Code and no corr ective work was required.
COMPLIANCE AFTER CORRECIIVE WORK PERFORMED
n Ihis is to certify that the property listed above has been found to be in compliance with Section 3 40 of the City Code
after satisfactorily completing the required corrective repair work under (check all that apply):
City Sanitary Sewer Permit
NOTE.: Applicable only if box is checked: used on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or fiiture inspections be performed to minimize apotential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved:
Print name
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address:
City Plumbing Permit
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel F ile)
rA /ro
Signature Date
City of Eapll
rev. 2 23.2010